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1508459942
LOGAN STOUT THERAPY SERVICES,LLC
PORTAGE, MI
NPI
1508459942
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Entity Type
Organization
Authorized Contact
LOGAN T STOUT
Owner
269-744-4725
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
LOGAN STOUT THERAPY SERVICES,LLC
800 E MILHAM AVE STE 200
PORTAGE, MI 49002-1490
Phone number: 269-744-4725
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Mailing Address
LOGAN STOUT THERAPY SERVICES,LLC
800 E MILHAM AVE STE 200
PORTAGE, MI 49002-1490
Phone number: 269-744-4725
Copy
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